Healthcare Provider Details

I. General information

NPI: 1164684163
Provider Name (Legal Business Name): MUHAMMAD RIZWAN KHALID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 SCRIPTURE ST
DENTON TX
76201-2302
US

IV. Provider business mailing address

2609 SCRIPTURE ST
DENTON TX
76201-2302
US

V. Phone/Fax

Practice location:
  • Phone: 940-565-0800
  • Fax: 940-565-0884
Mailing address:
  • Phone: 940-565-0800
  • Fax: 940-565-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberS6867
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberS6867
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberS6867
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberS6867
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number04-37385
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: